General Medicine E - Log Book

Pre-Final Internal Assessment
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Paper 1
























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39 YEAR OLD WITH SHORTNESS OF BREATH

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Y.Navya sahithi reddy Roll no.1701006200 2017 batch I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan A 37 year old male came to opd with c/o shortness of breath grade 4 since 3 months . HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 2 years back ,  then the patient had an episode of giddiness ?due to shock (from the death of his brother in law) ,for which he went to a local hospital and got diagnosed with hypertension. Since then the patient was started on increasing doses of Telma and later Telma -H, but the patient was not compliant to the medication. He used to take the medication only when there's occasional neck stiffness and pain. History of mild shortness of breath and chest pain 3 months back, not associated with cough, fatigue
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General medicine online assignment(covid case 23)

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INTERNAL ASSESMENT

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⁰ 10 Marks questions: 1 )Define bone density, how is it measured? What are the causes, clinical features,diagnosis and management of osteoporosis? (1+2+2+2+3) Bone density, or bone mineral density, is the amount of bone mineral in bone tissue.  Bone density measurements are used to diagnose osteoporosis . A bone density test is used to measure bone mineral content and density. It may be done using X-rays, dual-energy X-ray absorptiometry (DEXA or DXA), or a special CT scan  It is painless and tests the risk of fracture due to osteoporosis.  Osteoporosis is characterized by decrease in the amount of bone. Causes: primary- postmenopausal women and older men                      Secondary- cancer,COPD,CKD,certain drugs,                                                    Endocrine diseases.  Clinical features: usually asymptomatic                                Back ache or spontaneous fractures may be seen. Investigations: x rays showing osteopenia                
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